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Most viewed - West Nile Virus Multifocal Choroiditis in Diabetic 32 year old white male. He has been sick for about 1 month and was recently diagnosed with West Nile virus. He has had a few fevers. He has had vomiting and when he is around food he gets sick. He's been sleeping all day and also had a chronic headache. He is getting percocet and naproxyn for the pain and headaches and zofran for the nausea. He had a positive blood test. His vision is blurred in the right eye. This started about 3 weeks ago. Since it started it is not getting any better. The patient was hospitalized last week and was on prednisone and imitrex for a few days for migraine. Then the prednisone started to intefere with his sleep so it was stopped after talking with the doctor. Type I diabetic diagnosed in 2009. The sugars have been good. •VA OD: sc20/50 PH20/40 NscJ1 •VA OS: sc20/63 PH20/32 NscJ1 The images show multifocal deep choroidal lesions (RPE) typical of west nile virus. There is also diabetic retinopathy. The retinopathy could be from W Nile virus but probably is not. His vision improved within about a month.
West Nile Virus Multifocal Choroiditis and diabetic retinopathy1066 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy766 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy718 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy714 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus
West Nile Virus Multifocal Choroiditis and diabetic retinopathy677 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy612 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy598 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy575 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus
West Nile Virus Multifocal Choroiditis and diabetic retinopathy568 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy567 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy544 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy535 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus
West Nile Virus Multifocal Choroiditis and diabetic retinopathy525 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy518 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy517 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy510 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus
West Nile Virus Multifocal Choroiditis and diabetic retinopathy506 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy502 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy494 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy494 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus
West Nile Virus Multifocal Choroiditis and diabetic retinopathy486 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy480 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy479 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy478 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus
West Nile Virus Multifocal Choroiditis and diabetic retinopathy469 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy444 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy437 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus	West Nile Virus Multifocal Choroiditis and diabetic retinopathy421 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus
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32 year old white male. He has been sick for about 1 month and was recently diagnosed with West Nile virus. He has had a few fevers. He has had vomiting and when he is around food he gets sick. He's been sleeping all day and also had a chronic headache. He is getting percocet and naproxyn for the pain and headaches and zofran for the nausea. He had a positive blood test. His vision is blurred in the right eye. This started about 3 weeks ago. Since it started it is not getting any better. The patient was hospitalized last week and was on prednisone and imitrex for a few days for migraine. Then the prednisone started to intefere with his sleep so it was stopped after talking with the doctor. Type I diabetic diagnosed in 2009. The sugars have been good. •VA OD: sc20/50 PH20/40 NscJ1 •VA OS: sc20/63 PH20/32 NscJ1 The images show multifocal deep choroidal lesions (RPE) typical of west nile virus. There is also diabetic retinopathy. The retinopathy could be from W Nile virus but probably is not. His vision improved within about a month.